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HomeMy Public PortalAbout9858 LEMON AVE_Plumbing__ 76A667-CE817-8-57 APPLICATION FOR 'PLUM PERMIT COUNTY OF LOS ANGELES ` DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION a BUILDING ADDRESS ( .r JOHN.A,LAMblE, COUNTY ENGINEER �* ,CASSATT D .GRI-F,'FIN, SUP T•OF BUILDING LOCALITY ... � FOR APPLICANT TO FILL IN NEAREST " � _ ✓ '"'to°'a' CROSS ST., NUMBER FIXTURE OR ITEM �j •• - .f t., OWNER WATER CLOSET MAIL Uwe ® � BATH TUB ADDRESS aq4e, aenw SHOWER CITY��ex+uk'9.4: 8Va7�aa�► TEL.NO. LAVATORY CONTRACTOR r `- - SING ADDRESS, inAy _ °DISHWASHER 5 —�� .. " V r a CITY 8 i,ry TEL.NO. LAUNDRY TUB CONTRACTOR'S '" "STATE , REGISTRATION NO. COUNTY �t CLOTHES WASHER DISTRICT NO GROUP ZONE READY FOR INSPECTION - , WATER HEATER F { t GAS SYSTEM INDUSTRIAL j WASTE APPROVAL' - - - - •`. d INSPECTION RECORD t APPROVALS'. - DATE ? INSPECTOR S SIGNATURE'• t�a $1:00 PER ITEM x,- •' OR,FIXTURE $ UNDER SLAB WORK €1.'01 ROUGH PLUMBING PERMIT S 1' 00 GAS PIPING " i TOTAL FEE GAS VENT 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION• HOT WATER HEATER ANDS;STATE THAT ,THE ABOVE'IS CORRECT AND AGREE TO COMPLY _ •`� �'• WITH„}ALLI COUNTY ORDINANCES .AND STATE LAWS REGULATING PLUMBING FIXTURES' , •-PLUMBING- � -y. �;i �� ' y{I HEREBY CERTIFY-THAT Y',AM PROPERLY REGISTERED AND/OR GAS TEST o -�1; LICENSED,AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF •' - - ,CALIFORNIA •OR,jHAT'I AM THE LEGAL OWNER OF THE ,ABOVE, UTILITY CO NOTIFIED n " DESCRIBED'•RESIDENTIAL PROPERTY r- SIGNATURE �"' - �" �OFPERMITTEE� �•�`. �' e�"'' -$•^' E -�"�`" _ - •F6NAL ' 88 I ROBERT A WOOD. . VALIDATION _ SUPERVISING MECHANICAL ENG,R, c ; r �I �•+ '~ _ "`• CK .M O 4 CASH y 4��� �1 ��" "� j�-ry r 7 Y•4N t j + ` e t -'J .. I; r � T + ^ - 3 ���}� , �•�- ;f, - F #� � .a.,� :•f � •R°L�i�+i�' .v .'�-+'� 76A667-CE817-8-57 APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDR SS G^ ✓ C +'L� JOHN A LAMBIE COUNTY ENGINEER CASSATT D GRIFFIN, SUP T OF BUILDING LOCALITY 'j FOR APPLICANT TO FILL IN NEAREST CROSS ST. ,. NUMBER FIXTURE OR ITEM OWNER (J--- WATER CLOSET MAIL BATH TUB ADDR SS o SHOWER CITY C2An �_ TEL.NO. I`�r LAVATORY CONTRACTOR 7 4eSINS ADDRESS9 DISHWASHER CITY = TEL.NO. 76 I� LAUNDRY TUB CONTRACTOR'SSTATE REGISTRATION NO. COUNTY ❑ CLOTHS WASHER WATER HEATER TRICT DISO GROUP ZONE READY FOR INSPECTION (, GAS SYSTEM INDUSTRIAL r WASTE APPROVAL INSPECTION RECORD APPROVALS @ $1.00 PER ITEM DATE INSPECTOR S SIGNATURE OR FIXTURE $ / UNDER SLAB WORK PERMIT S 1100 ROUGH PLUMBING GAS PIPING FOR IV-6 ,C TOTAL FEE cns vENr 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES PLUMBING I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT 1 AM THE LEGAL O ER OF TH BOVE UTILITY CO NOTIFIED b d DESCRIBED RESIDENT ROPTHE g :;Y SIGNATURE OF PERM TT - FINAL r�y ROBERT A WOOD, ©° ' VALIDATION SUPERVISING MECHANICAL ENG R CK M O CASH Lf 3 6_� 6� AUG 6 5 A 2.0 0 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS t 9701 LAS TUNAS PL 0508 0602090019 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (626) 285-0488 ERT ' LEGAL ID - FEES PAID BUILDING ADDRESS: ON FILE 9858 LEMON AV E FEE DESCRIPTION QUANTITY. UOM. AMOUNT ARCD CA 910077931 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET 5383-025-027 X01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE 597 GRID Al LOCALITY TEMPLE CITY, C 47 WATER HEATER(S) 1 00 WTH 16 20 TENANT: TOTAL FEES 43 95 ISSUED ON PROCESSED BY. PLAN BY: EXPIRES ON 02/09/06 JK 08/08/06 OWNER- TEL. NO- FINAL DATE FINAL BY CODE JOHN VAN CISE (626) 254-1721- ](/J /- 9858 LEMON AV �� "C -G - ARCD 910077931 DESCRIPTION OF WORK WATER HEATER CHANGE OUT , APPLICANT TEL NO: HALAJIAN VAL - SPECIAL CONDITIONS CONTRACTOR TEL. NO- APPROVALS DATE INSPECTOR SIGNATURE H B COVEY INC. (909) 623-2502- 14774 CENTRAL AVE LIC. NO UNDER SLAB WORK CHINO CA 91710 269354 WATER SERVICE PLASTIC Y/N METAL Y/N ARCHITECT OR ENGINEER: TEL. NO ROUGH PLUMBING LIC. NO. GAS ?IPING GAS VENT HOT WATER HEATER PLUMBING FIXTURES LAWN SPRINKLERS GAS 'FEST UTILITY COMPANY NOTIFIED CWV GRAY WATER SYSTEM i REPORT ID. DPR263 ROUTE TO. BS0508